Ultrasonic doppler flowmeter-guided occipital nerve block.
10.4097/kjae.2010.59.6.394
- Author:
Se Hee NA
1
;
Tae Wan KIM
;
Se Young OH
;
Tae Dong KWEON
;
Kyung Bong YOON
;
Duck Mi YOON
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. dmyoon@yuhs.ac
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Doppler ultrasonography;
Migraine disorders;
Neuralgia;
Occipital nerve;
Post-traumatic headache
- MeSH:
Aged;
Flowmeters;
Headache;
Humans;
Lidocaine;
Migraine Disorders;
Nerve Block;
Neuralgia;
Post-Traumatic Headache;
Prospective Studies;
Stress, Psychological;
Ultrasonics;
Ultrasonography, Doppler
- From:Korean Journal of Anesthesiology
2010;59(6):394-397
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Greater occipital nerve block is used in the treatment of headaches and neuralgia in the occipital area. We evaluated the efficacy of ultrasonic doppler flowmeter-guided occipital nerve block in patients experiencing headache in the occipital region in a randomized, prospective, placebo-controlled study. METHODS: Twenty-six patients, aged 18 to 70, with headache in the occipital region, were included in the study. Patients received a greater occipital nerve block performed either under ultrasonic doppler flowmeter guidance using 1% lidocaine or the traditional method. Sensory examination findings in the occipital region were evaluated. RESULTS: The complete block rate of greater occipital nerve blockade in the doppler group was significantly higher than in the control group respectively (76.9% vs. 30.8%, P < 0.05). Only one patient in the control group had a complication (minimal bleeding). CONCLUSIONS: Ultrasonic doppler flowmeter-guided occipital nerve block may be a useful method for patients suffering headache in the occipital region.
